Implantology and the severely resorbed edentulous mandible.
Identifieur interne : 002B91 ( PubMed/Corpus ); précédent : 002B90; suivant : 002B92Implantology and the severely resorbed edentulous mandible.
Auteurs : C. Stellingsma ; A. Vissink ; H J A. Meijer ; C. Kuiper ; G M RaghoebarSource :
- Critical reviews in oral biology and medicine : an official publication of the American Association of Oral Biologists [ 1544-1113 ] ; 2004.
English descriptors
- KwdEn :
- Alveolar Bone Loss (surgery), Alveolar Ridge Augmentation (methods), Bone Substitutes, Bone Transplantation, Dental Implantation, Endosseous (methods), Dental Implants, Dental Prosthesis, Implant-Supported, Dental Restoration Failure, Humans, Jaw, Edentulous (rehabilitation), Mandible (surgery), Mandibular Diseases (surgery), Osteogenesis, Distraction.
- MESH :
- chemical : Bone Substitutes, Dental Implants.
- methods : Alveolar Ridge Augmentation, Dental Implantation, Endosseous.
- rehabilitation : Jaw, Edentulous.
- surgery : Alveolar Bone Loss, Mandible, Mandibular Diseases.
- Bone Transplantation, Dental Prosthesis, Implant-Supported, Dental Restoration Failure, Humans, Osteogenesis, Distraction.
Abstract
Patients with a severely resorbed edentulous mandible often suffer from problems with the lower denture. These problems include: insufficient retention of the lower denture, intolerance to loading by the mucosa, pain, difficulties with eating and speech, loss of soft-tissue support, and altered facial appearance. These problems are a challenge for the prosthodontist and surgeon. Dental implants have been shown to provide a reliable basis for fixed and removable prostheses. This has resulted in a drastic change in the treatment concepts for management of the severely resorbed edentulous mandible. Reconstructive, pre-prosthetic surgery has changed from surgery aimed to provide a sufficient osseous and mucosal support for a conventional denture into surgery aimed to provide a sufficient bone volume enabling implants to be placed at the most optimal positions from a prosthetic point of view. The aim of this paper is to review critically the literature on procedures related to the severely resorbed edentulous mandible and dental implant treatment. The study includes the transmandibular implant, (short) endosseous implants, and reconstructive procedures such as distraction osteogenesis, augmentation of the mandibular ridge with autogenous bone, and bone substitutes followed by the placement of implants. The number of patients participating in a study, the follow-up period, the design of the study, the degree of mandibular resorption, and the survival rate of the dental implants all are considered evaluation parameters. Although numerous studies have described the outcome results of dental implants in the edentulous mandible, there have been few prospective studies designed as randomized clinical trials that compare different treatment modalities to restore the severely resorbed mandible. Therefore, it is not yet possible to select an evidence-based treatment modality. Future research has to be focused on long-term, detailed follow-up clinical trials before scientifically based decisions in treating these patients can be made. This will contribute to a higher level of care in this field.
PubMed: 15284188
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Implantology and the severely resorbed edentulous mandible.</title><author><name sortKey="Stellingsma, C" sort="Stellingsma, C" uniqKey="Stellingsma C" first="C" last="Stellingsma">C. Stellingsma</name><affiliation><nlm:affiliation>Department of Oral and Maxillofacial Surgery and Maxillofacial Prosthetics, University Hospital, PO Box 30.001, 9700 RB Groningen, The Netherlands. c.stellingsma@kchir.azg.nl</nlm:affiliation></affiliation></author><author><name sortKey="Vissink, A" sort="Vissink, A" uniqKey="Vissink A" first="A" last="Vissink">A. Vissink</name></author><author><name sortKey="Meijer, H J A" sort="Meijer, H J A" uniqKey="Meijer H" first="H J A" last="Meijer">H J A. Meijer</name></author><author><name sortKey="Kuiper, C" sort="Kuiper, C" uniqKey="Kuiper C" first="C" last="Kuiper">C. Kuiper</name></author><author><name sortKey="Raghoebar, G M" sort="Raghoebar, G M" uniqKey="Raghoebar G" first="G M" last="Raghoebar">G M Raghoebar</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2004">2004</date><idno type="RBID">pubmed:15284188</idno><idno type="pmid">15284188</idno><idno type="wicri:Area/PubMed/Corpus">002B91</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">002B91</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Implantology and the severely resorbed edentulous mandible.</title><author><name sortKey="Stellingsma, C" sort="Stellingsma, C" uniqKey="Stellingsma C" first="C" last="Stellingsma">C. Stellingsma</name><affiliation><nlm:affiliation>Department of Oral and Maxillofacial Surgery and Maxillofacial Prosthetics, University Hospital, PO Box 30.001, 9700 RB Groningen, The Netherlands. c.stellingsma@kchir.azg.nl</nlm:affiliation></affiliation></author><author><name sortKey="Vissink, A" sort="Vissink, A" uniqKey="Vissink A" first="A" last="Vissink">A. Vissink</name></author><author><name sortKey="Meijer, H J A" sort="Meijer, H J A" uniqKey="Meijer H" first="H J A" last="Meijer">H J A. Meijer</name></author><author><name sortKey="Kuiper, C" sort="Kuiper, C" uniqKey="Kuiper C" first="C" last="Kuiper">C. Kuiper</name></author><author><name sortKey="Raghoebar, G M" sort="Raghoebar, G M" uniqKey="Raghoebar G" first="G M" last="Raghoebar">G M Raghoebar</name></author></analytic><series><title level="j">Critical reviews in oral biology and medicine : an official publication of the American Association of Oral Biologists</title><idno type="eISSN">1544-1113</idno><imprint><date when="2004" type="published">2004</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Alveolar Bone Loss (surgery)</term><term>Alveolar Ridge Augmentation (methods)</term><term>Bone Substitutes</term><term>Bone Transplantation</term><term>Dental Implantation, Endosseous (methods)</term><term>Dental Implants</term><term>Dental Prosthesis, Implant-Supported</term><term>Dental Restoration Failure</term><term>Humans</term><term>Jaw, Edentulous (rehabilitation)</term><term>Mandible (surgery)</term><term>Mandibular Diseases (surgery)</term><term>Osteogenesis, Distraction</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Bone Substitutes</term><term>Dental Implants</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Alveolar Ridge Augmentation</term><term>Dental Implantation, Endosseous</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Jaw, Edentulous</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Alveolar Bone Loss</term><term>Mandible</term><term>Mandibular Diseases</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Bone Transplantation</term><term>Dental Prosthesis, Implant-Supported</term><term>Dental Restoration Failure</term><term>Humans</term><term>Osteogenesis, Distraction</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Patients with a severely resorbed edentulous mandible often suffer from problems with the lower denture. These problems include: insufficient retention of the lower denture, intolerance to loading by the mucosa, pain, difficulties with eating and speech, loss of soft-tissue support, and altered facial appearance. These problems are a challenge for the prosthodontist and surgeon. Dental implants have been shown to provide a reliable basis for fixed and removable prostheses. This has resulted in a drastic change in the treatment concepts for management of the severely resorbed edentulous mandible. Reconstructive, pre-prosthetic surgery has changed from surgery aimed to provide a sufficient osseous and mucosal support for a conventional denture into surgery aimed to provide a sufficient bone volume enabling implants to be placed at the most optimal positions from a prosthetic point of view. The aim of this paper is to review critically the literature on procedures related to the severely resorbed edentulous mandible and dental implant treatment. The study includes the transmandibular implant, (short) endosseous implants, and reconstructive procedures such as distraction osteogenesis, augmentation of the mandibular ridge with autogenous bone, and bone substitutes followed by the placement of implants. The number of patients participating in a study, the follow-up period, the design of the study, the degree of mandibular resorption, and the survival rate of the dental implants all are considered evaluation parameters. Although numerous studies have described the outcome results of dental implants in the edentulous mandible, there have been few prospective studies designed as randomized clinical trials that compare different treatment modalities to restore the severely resorbed mandible. Therefore, it is not yet possible to select an evidence-based treatment modality. Future research has to be focused on long-term, detailed follow-up clinical trials before scientifically based decisions in treating these patients can be made. This will contribute to a higher level of care in this field.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">15284188</PMID><DateCompleted><Year>2004</Year><Month>08</Month><Day>26</Day></DateCompleted><DateRevised><Year>2005</Year><Month>11</Month><Day>16</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1544-1113</ISSN><JournalIssue CitedMedium="Internet"><Volume>15</Volume><Issue>4</Issue><PubDate><Year>2004</Year><Month>Jul</Month><Day>01</Day></PubDate></JournalIssue><Title>Critical reviews in oral biology and medicine : an official publication of the American Association of Oral Biologists</Title><ISOAbbreviation>Crit. Rev. Oral Biol. Med.</ISOAbbreviation></Journal><ArticleTitle>Implantology and the severely resorbed edentulous mandible.</ArticleTitle><Pagination><MedlinePgn>240-8</MedlinePgn></Pagination><Abstract><AbstractText>Patients with a severely resorbed edentulous mandible often suffer from problems with the lower denture. These problems include: insufficient retention of the lower denture, intolerance to loading by the mucosa, pain, difficulties with eating and speech, loss of soft-tissue support, and altered facial appearance. These problems are a challenge for the prosthodontist and surgeon. Dental implants have been shown to provide a reliable basis for fixed and removable prostheses. This has resulted in a drastic change in the treatment concepts for management of the severely resorbed edentulous mandible. Reconstructive, pre-prosthetic surgery has changed from surgery aimed to provide a sufficient osseous and mucosal support for a conventional denture into surgery aimed to provide a sufficient bone volume enabling implants to be placed at the most optimal positions from a prosthetic point of view. The aim of this paper is to review critically the literature on procedures related to the severely resorbed edentulous mandible and dental implant treatment. The study includes the transmandibular implant, (short) endosseous implants, and reconstructive procedures such as distraction osteogenesis, augmentation of the mandibular ridge with autogenous bone, and bone substitutes followed by the placement of implants. The number of patients participating in a study, the follow-up period, the design of the study, the degree of mandibular resorption, and the survival rate of the dental implants all are considered evaluation parameters. Although numerous studies have described the outcome results of dental implants in the edentulous mandible, there have been few prospective studies designed as randomized clinical trials that compare different treatment modalities to restore the severely resorbed mandible. Therefore, it is not yet possible to select an evidence-based treatment modality. Future research has to be focused on long-term, detailed follow-up clinical trials before scientifically based decisions in treating these patients can be made. This will contribute to a higher level of care in this field.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Stellingsma</LastName><ForeName>C</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Department of Oral and Maxillofacial Surgery and Maxillofacial Prosthetics, University Hospital, PO Box 30.001, 9700 RB Groningen, The Netherlands. c.stellingsma@kchir.azg.nl</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Vissink</LastName><ForeName>A</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Meijer</LastName><ForeName>H J A</ForeName><Initials>HJ</Initials></Author><Author ValidYN="Y"><LastName>Kuiper</LastName><ForeName>C</ForeName><Initials>C</Initials></Author><Author ValidYN="Y"><LastName>Raghoebar</LastName><ForeName>G M</ForeName><Initials>GM</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016454">Review</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2004</Year><Month>07</Month><Day>01</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Crit Rev Oral Biol Med</MedlineTA><NlmUniqueID>9009999</NlmUniqueID><ISSNLinking>1045-4411</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D018786">Bone Substitutes</NameOfSubstance></Chemical><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D015921">Dental Implants</NameOfSubstance></Chemical></ChemicalList><CitationSubset>D</CitationSubset><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D016301" MajorTopicYN="N">Alveolar Bone Loss</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000540" MajorTopicYN="N">Alveolar Ridge Augmentation</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D018786" MajorTopicYN="N">Bone Substitutes</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016025" MajorTopicYN="N">Bone Transplantation</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003758" MajorTopicYN="N">Dental Implantation, Endosseous</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015921" MajorTopicYN="Y">Dental Implants</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019094" MajorTopicYN="N">Dental Prosthesis, Implant-Supported</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019232" MajorTopicYN="N">Dental Restoration Failure</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007575" MajorTopicYN="N">Jaw, Edentulous</DescriptorName><QualifierName UI="Q000534" MajorTopicYN="Y">rehabilitation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008334" MajorTopicYN="N">Mandible</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008336" MajorTopicYN="N">Mandibular Diseases</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D019857" MajorTopicYN="N">Osteogenesis, Distraction</DescriptorName></MeshHeading></MeshHeadingList><NumberOfReferences>119</NumberOfReferences></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2004</Year><Month>7</Month><Day>31</Day><Hour>5</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2004</Year><Month>8</Month><Day>27</Day><Hour>5</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2004</Year><Month>7</Month><Day>31</Day><Hour>5</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>epublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">15284188</ArticleId><ArticleId IdType="pii">15/4/240</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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